Table of contents:
Premature ejaculation is the tendency for orgasms to occur too quickly against desire, and usually occurs with minimal sexual stimulation; either before or shortly after sexual penetration. Climax too fast can also be experienced when masturbating. Premature ejaculation is the most common sex complaint reported by most men - at least 1 in 3 men have experienced it once in their lifetime.
While there is no precise "time limit" for defining how fast ejaculation can be called premature, most experts interpret it as reaching a climax that lasts less than two minutes. Premature ejaculation can result in unsatisfactory sex for both partners. This can increase anxiety, which may make the problem worse.
What are the causes of premature ejaculation?
Psychological factors such as excitement, anxiety, guilt, trauma, depression, or demands from a partner to give their best are the most common and underlying causes of premature ejaculation. Climax that is too sooner than desired may occur only in certain sexual situations (for example, first sex), hypersensitivity from stimulation that is too intense, or the distance between ejaculations that is too short or long. Premature ejaculation can also occur with new partners or as a result of conflict and / or tension in relationships.
The above psychological factors can affect men who previously even had normal ejaculation - and often it can develop into primary sex dysfunction, aka persistently for life.
The inability to control ejaculation is rarely the result of a medical condition, although doctors will need to rule out, such as:
- Diabetes
- Impotence
- Disorders of the prostate
- Heart disease
- High blood pressure (hypertension)
- Abnormal levels of brain chemicals (neurotransmitters)
- Abnormal hormone levels (problems with the thyroid gland)
- History of alcohol, substance, and drug abuse
- Nervous system damage; by trauma or surgery scars
- Inflammation of the urethra
- Side effects of prescription drugs for certain conditions
It is difficult to determine the root cause of premature ejaculation, whether it is due to psychological factors, problems with the structure of the penis, or a combination of both. Premature ejaculation can involve a complex interaction of psychological and biological factors.
Therefore, when consulting a doctor about this matter, he will discuss your sex life. In addition to asking questions about your sex life, your doctor will ask about your medical history and possibly perform a physical exam. If you have premature ejaculation and have trouble getting or maintaining an erection, your doctor may order blood tests to check your testosterone level or other tests.
What can be done to overcome premature ejaculation?
In many cases, premature ejaculation will improve on its own over time, so treatment may not be needed. As sexual experiences and ages, men often learn to delay orgasm. You can practice relaxation techniques or use distraction methods, such as grasping the base of the penis to hold back ejaculation, or thinking about non-sexual things to help you last longer.
Using condoms or sex lubricants that can numb your senses can reduce sensation in the penis. Or, you can try different positions (such as lying on your back) during sex. A man may also choose to temporarily avoid sexual penetration, and focus intimacy with other forms of sexual maneuvers that are available, to give himself a chance to manage the anxiety and stress that affect his performance in bed.
Premature ejaculation caused by psychological problems can be managed with behavioral therapy or couples counseling. Such therapy may involve recommending masturbation an hour or two before sex to give yourself a better chance of delaying ejaculation; stimulate your partner before sex so that both of you can have orgasms at the same time; or communicate with your partner to try to slow or stop stimulation
In addition, antidepressant drugs can sometimes be prescribed to treat premature ejaculation. There are also creams, gels, and sprays that can be used to treat premature ejaculation by reducing sensation in the penis - for example, lidocaine and lidocaine + prilocaine. However, some of these drugs can also affect sensation in the genital area of your sexual partner. For some men, stopping or reducing their use of alcohol, tobacco, or illegal drugs can improve their control over ejaculation.
